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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Revision parathyroidectomy guided by intraoperative radionuclide imaging.
    Author: Nageris B, Guttman D, Bahar G, Melloul M, Feinmesser R, Schneebaum S.
    Journal: Isr Med Assoc J; 2003 Jun; 5(6):403-6. PubMed ID: 12841009.
    Abstract:
    BACKGROUND: Technetium-99m sestamibi scintigraphy has become one of the most popular techniques for localization of the parathyroid gland after failure of primary neck exploration. OBJECTIVE: To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy. METHODS: We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration. RESULTS: In all cases the pathologic glands were successfully detected and removed. CONCLUSIONS: With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.
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